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作 者:王毅[1] 李六林[1] 樊静[2] 赵西和[1] 王晓丽[3] 刘江[4] 杨干金 李伟 贾秀伟 王洪明 杜婵娟 任延飞 廖平 廖克坤[1]
机构地区:[1]绵阳市疾病预防控制中心,四川绵阳621000 [2]绵阳同志关爱小组,四川绵阳621000 [3]绵阳市涪城区疾病预防控制中心,四川绵阳621000 [4]江油市疾病预防控制中心,四川江油621700 [5]三台县疾病预防控制中心,四川三台621100 [6]绵阳市安州区疾病预防控制中心,四川绵阳622650 [7]北川羌族自治县疾病预防控制中心,四川北川622750 [8]梓潼县疾病预防控制中心,四川梓潼622150 [9]绵阳市游仙区疾病预防控制中心,四川绵阳621600 [10]盐亭县疾病预防控制中心,四川盐亭621600 [11]平武县疾病预防控制中心,四川平武622500
出 处:《中国艾滋病性病》2017年第7期625-629,共5页Chinese Journal of Aids & STD
基 金:四川省艾滋病防治社会动员项目[2014(中)-M-05]~~
摘 要:目的了解男男性行为者(MSM)首次同性性行为发生途径(简称发生途径),分析关联因素。方法2015年3-10月,以四川省绵阳市MSM为对象,用滚雪球抽样法招募调查对象,进行调查及血清学检测。结果共调查1 230名MSM,首次同性性行为互联网途径者占45.4%,朋友途径50.6%,场所等途径4.0%。互联网、朋友、场所等发生途径艾滋病病毒(HIV)感染率分别为5.9%、5.0%、18.0%,差异有统计学意义(P=0.001)。不同发生途径的关联因素多因素分析,存在独立统计学关联的变量:网络途径与场所等途径相比较:出生年代、文化程度、艾滋病知识、寻找性伴场所、近6个月肛交保护性间比较有统计学意义(P均<0.05);朋友途径与场所等途径相比较:文化程度、婚姻状况、艾滋病知识、近6个月肛交数、近6个月肛交保护性间比较有统计学意义(P均<0.05);网络途径与朋友途径相比较:出生年代、文化程度、首次同性性行为年龄、首次肛交保护性、近6个月肛交数、寻找性伴场所间比较有统计学意义(P均<0.05)。结论 MSM首次同性性行为发生途径与人口学及性行为特征相关联,不同途径面临的HIV感染风险不同,场所等途径和朋友途径风险较高。Objective To understand the status of the first male homosexual behavior among men who have sex with men(MSM)and the associated factors.Methods From March to October 2015,MSM of Mianyang city,Sichuan province were recruited by using snowball sampling method for a survey,and serological test was made to detect HIV infection.Results Among 1230 MSM investigated,45.4% had their first sex with their male partners acquainted through internet,50.6% introduced by friend,and 4.0% known in the MSM locales.The rates of HIV infection among MSM who met sexual partners via internet,by friend,and in the MSM locales were 5.9%,5.0%,and 18.0%,with the difference statistically significant(P=0.001).The multi-factor analysis showed that factors associated to whether to find sexual partners via internet or in MSM locales were birth year,educational level,marital status,awareness of HIV/AIDS knowledge,sites to find partners,and safe anal sex in the past 6 months(all P0.05),with the difference statistical significant.Comparison between the ways by friend and in the locales was related to educational level,marital status,awareness of HIV/AIDS knowledge,a number of anal sex and safe anal sex in the past 6 months(all P0.05).Comparison between the ways via internet and by friend to find sexual partners was associated with factors including birth year,educational level,the age of first sex,number of anal sex and safe anal sex in the past 6 months,and places to find sexual partners(all P0.05).Conclusion The ways to find homosexual partners for the first sex among MSM are associated with their demographic characteristics.Different ways to find sexual partners will face the different risks of HIV infection and the ways via MSM locales and by friend may have higher risks than others.
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